Med Phys
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Evaluation of functional magnetic resonance imaging (fMRI) as a reliable clinical imaging tool requires accurate assessment and correction of head motion artifacts. As the correction of bulk head motion is vital, the loss of signal strength from the confounding effect of head motion on spin magnetization may be an additional factor in activation analysis error. This study focuses on the evaluation and correction of the spin saturation artifact that occurs when parts of adjacent slices are selected due to changing head positions in single-shot multislice acquisitions. ⋯ We evaluated the effect of spin saturation artifacts and the performance of the WASS correction using simulated fMRI time series synthesized with known true activation, motion, and the associated spin saturation artifact. Two different ranges of head rotations, [-5,5] and [-2,2] deg, were introduced and the effect of the spin saturation artifact was quantified to show 18% and 13% reduction in activation detection rate, respectively. Following the MSV motion and WASS correction, results indicate that WASS correction can improve activation detection by 17% relative to MSV only correction.
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Experiments were conducted to determine optimal acquisition techniques for bone image decompositions for a prototype dual-energy (DE) imaging system. Technique parameters included kVp pair (denoted [kVp(L)/kVp(H)]) and dose allocation (the proportion of dose in low- and high-energy projections), each optimized to provide maximum signal difference-to-noise ratio in DE images. Experiments involved a chest phantom representing an average patient size and containing simulated ribs and lung nodules. ⋯ Optimal dose allocation was approximately 0.5-i.e., an equal dose imparted by the low- and high-energy projections. The results complement earlier studies of optimal DE soft-tissue image acquisition, with differences attributed to the specific imaging task. Together, the results help to guide the development and implementation of high-performance DE imaging systems, with applications including lung nodule detection and diagnosis, pneumothorax identification, and musculoskeletal imaging (e.g., discrimination of rib fractures from metastasis).
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Image-guided needle biopsies are currently used to provide a definitive diagnosis of breast cancer; however, difficulties in tumor targeting exist as the ultrasound (US) scan plane and biopsy needle must remain coplanar throughout the procedure to display the actual needle tip position. The additional time associated with aligning and maintaining this coplanar relationship results in increased patient discomfort. Biopsy procedural efficiency is further hindered since needle pathway interpretation is often difficult, especially for needle insertions at large depths that usually require multiple reinsertions. ⋯ Procedure times were compared based on experience and the technique performed. Using a pair-wise t test, lower biopsy procedure times were observed when using the guidance system versus the free-hand technique (t = 12.59, p < 0.001). The authors believe that with this improved biopsy guidance they will be able to reduce the "false negative" rate of biopsies, especially in the hands of less experienced physicians.
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Comparative Study
Evaluation of dosimetric margins in prostate IMRT treatment plans.
This work introduces a new concept--the dosimetric margin distribution (DMD)--and uses it to explain the sensitivity of a group of prostate IMRT treatment plans to patient setup errors. Prior work simulated the effect of setup errors on 27 prostate IMRT treatment plans and found the plans could tolerate larger setup errors than predicted by the van Herk margin formula. The conjectured reason for this disagreement was a breakdown in van Herk's assumption that the planned dose distribution conforms perfectly to target structures. ⋯ The principal conclusion is that target coverage in the presence of setup errors should be evaluated using the DMD, rather than the CTV-to-PTV margin distribution. The DMD is a useful planning metric, which generalizes the ICRU conformity index. DMDs could vary with number of beams, beam arrangements, TPS, and treatment site.